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RECRUITINGINTERVENTIONAL

Concussion Treatment in Older Adults

Randomized Controlled Trial of Targeted Treatment in Older Adults Following Concussion

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

The purpose of this study is to conduct the first randomized control trial for targeted treatments for concussion in adults 50 years or older. Participants will be enrolled at their first concussion clinical visit (V1) and their second study visit will occur after (up to 7 days) or concurrently with the participant's second concussion clinical visit, typically (but not limited to) between 21-31 days from V1.

Who May Be Eligible (Plain English)

Who May Qualify: - 50 years of age or older - Diagnosed concussion within the last 4 days - 12 months - Must be recruited at their initial concussion appointment - Ability to read/write to complete study assessments/testing Who Should NOT Join This Trial: - Diagnosed major psychiatric disorders other than depression/anxiety (e.g., schizophrenia) - Diagnosed with moderate to severe brain injury or past brain surgery/malformations Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: * 50 years of age or older * Diagnosed concussion within the last 4 days - 12 months * Must be recruited at their initial concussion appointment * Ability to read/write to complete study assessments/testing Exclusion Criteria: * Diagnosed major psychiatric disorders other than depression/anxiety (e.g., schizophrenia) * Diagnosed with moderate to severe brain injury or past brain surgery/malformations

Treatments Being Tested

BEHAVIORAL

Behavioral Control

Participants will receive standardized behavioral management strategies for their concussion symptoms including: activity, hydration, nutrition, sleep, and stress management strategies. These strategies provide general methods to manage concussion symptoms and regulate daily activities to assist in the recovery of concussion.

BEHAVIORAL

Targeted Intervention

Participants will be prescribed one or more interventions, tailored to their domains. Anxiety/Mood-Cog beh therapy(CBT) for maladaptive beliefs/avoidance/coping behaviors. Graded exposure/activity/relaxation exercises, cognitive restructuring. Cognitive-Accommodations for reduced work/school time/delayed deadlines, more frequent/longer cognitive rest during symptom-provoking activities. Migraine/Headache: Education, relaxation training/mindfulness based therapy. Ocular-Exercises for ocular symptoms, near point convergence, may include Brock string, pencil push-ups, fixation, saccade tracking, pursuits. Sleep-Sleep regulation/hygiene. Mindfulness-based training, morning physical activity, CBT.Vestibular-Exercises for dizziness, visual motion sensitivity, gait, imbalance that may include gaze stability, visual habituation, static and dynamic balance/gait.

Locations (1)

University of Pittsburgh
Pittsburgh, Pennsylvania, United States